Takami H, Takahashi S, Ando M, Masuda A
Section of Orthopaedic Surgery, Kanto Rosai Hospital, Kawasaki, Japan.
Arch Orthop Trauma Surg. 1996;115(2):104-7. doi: 10.1007/BF00573451.
Four patients with chronic lunate and perilunate dislocations were treated by open reduction and internal fixation. The interval between injury and operation was 7, 8, 14 and 18 weeks, respectively. Both palmar and dorsal surgical approaches were needed to reduce the old dislocation in all cases. A case of dorsal trans-scaphoid perilunate dislocation showed concurrent partial disruption of the scapholunate ligament. Transient vascular compromise of either the lunate or the proximal scaphoid fragment was noted in three patients. Despite the delay in treatment, all patients had satisfactory outcomes.
4例慢性月骨及月骨周围脱位患者接受了切开复位内固定治疗。受伤至手术的间隔时间分别为7周、8周、14周和18周。所有病例均需要采用掌侧和背侧手术入路来复位陈旧性脱位。1例背侧经舟骨月骨周围脱位病例显示舟月韧带同时存在部分断裂。3例患者出现月骨或近端舟骨骨折块的短暂血管损伤。尽管治疗有所延迟，但所有患者均获得了满意的结果。
